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  • Title: [Evaluation of transcatheter arterial embolization with coaxial microcatheter and micro-coil for vascular lesions].
    Author: Itoh S, Ishiguchi T, Negoro M, Hirose M, Fukazu H, Endo T, Ishigaki T, Sakuma S.
    Journal: Nihon Igaku Hoshasen Gakkai Zasshi; 1992 Apr 25; 52(4):452-60. PubMed ID: 1630890.
    Abstract:
    Transcatheter arterial embolization using a coaxial microcatheter and micro-coil was performed in eight patients with vascular lesions; one each with aneurysm of the basilar artery, cerebellar artery, and pancreatic artery, pseudoaneurysm of the common hepatic artery, gastroduodenal artery, and gluteal artery, carotid-cavernous fistula, and thoracic paraspinal arteriovenous malformation. Complete occlusion was achieved in five patients with aneurysm and pseudoaneurysm by occluding the aneurysmal cavity and/or the orifice. A patient with recurrent carotid-cavernous fistula was also completely embolized. A case of basilar artery aneurysm resulted in partial occlusion because the posterior cerebral artery originated from the aneurysm. The unsatisfactory result in a case of paraspinal AVM was due to its wide extension with multiple feeding arteries. No apparent complication was seen. In conclusion, super-selective arterial embolization therapy with coaxial microcatheter and micro-coils was found to be a useful method for vascular lesions that would have been technically difficult to embolize with the standard catheter and coils.
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